TOPS payment v2

Toronto Oral Pathology Services (TOPS)

Dr. Grace Bradley, Dr. Justin Bubola, Dr. Deepika Chugh,
Dr. Iona Leong, Dr. Marco Magalhaes

Faculty of Dentistry, University of Toronto
124 Edward Street, RM 314
Toronto, ON M5G 1G6

Laboratory Number

Doctor's Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email for electronic receipt

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Laboratory Fee/Invoice (July 1, 2026 and after)

$130.00 CAD Quantity

Laboratory Fee/Invoice (July 2025 to June 2026)

$120.00 CAD Quantity

Laboratory Fee/Invoice (before July 2025)

$110.00 CAD Quantity

Total

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